Chapter 12- Pain Assessment Management Flashcards

1
Q

What are the 4 factors in the multimodal assessment model of pain?

A
  1. Pain Experience
  2. Pain Expressions
    - Pain Narrative
    - Pain Behavior
  3. Pain measures
    - Self-reported measures (questionnairs)
    - Non-self reported questionnaires (medical imaging)
  4. Environment
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2
Q

What are the 2 main elements to pain assessment?

A
  • Compassion-based Management (humanistic (patient centered)
  • Mechanism-based Management (
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3
Q

True or False
Can we directly observe (measure) someones pain experirence?

A

FALSE, we can only their pain expressions

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4
Q

Why is it an important implication of this reality that we cannot directly observe (measure) someones pain experience?

A

You cannot invalidate someones pain experience based on pain measures… even if it doesn’t fit the typical presentation

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5
Q

What is therapeutic alliance?

A

A trusting connection and rapport established between therapist and client through collaboration, communication, therapist empathy and mutual understanding and respect.

my definition: well established rapport and trusting connection built between a patient and therapist and that is done with respect, empathy, having good communication and understanding

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6
Q

What is guilded disclosure?

A

Gradually crossing level of intimacy

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7
Q

Guilded Disclosure - OARS stands for what?

A

O: Opended-ended questions
- We want to ask open ended until we reach a easful end
A: Affirming
- You want to validate their pain experiences but you don’t want to encourage bad choices or incorect beliefs

R: Reflecting

S: Summarizing

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8
Q

What is Motivational Interviewing?

A

RULE

R: Resist (don’t correct them. plant seed, guide them)
U: Understand (understand what matters to them)
L: Listen (compassion that leads discussion towards doing something about it)
E: Empower (support autonomy rather than therapist dependence)

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9
Q

Forward pacing technique?

A

TO increase the pace of the disclosure:
- Reflect(repeat/paraphrase) the last thing a patient said
- Jump ahead to where you think this story is going
- And then use one of the prompts for follow-up questions

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10
Q
A
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